Shirley Dianne Nicks, CMT

NPI #1457595639 in Pope Valley, California

Provider Information

NPI Number
1457595639
Entity Type
Individual
Name
Shirley Dianne Nicks, CMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
CMT
Enumeration Date
May 1, 2009
Last Updated
May 1, 2009

Practice Location

Address
8450 BUTTS CANYON ROAD
ZIP Code
94567
Phone
(707) 965-9242

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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